Individual
ALYSSA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 773-2196
Mailing address
49 MAIN ST APT 2G, FAIR HAVEN, VT 05743-1281
(203) 556-6073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0134106-PROV
VT
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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